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KISHA MURRAY DREAD DPM PC NPI 1407988223


NPI Information

NPI: 1407988223
Provider Name: KISHA MURRAY DREAD DPM PC

Doing Business As: FAMILY FOOTCARE OF LINCOLN PARK

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
22250 PROVIDENCE DR
SUITE 302
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 557-6500
Get Directions

KISHA MURRAY DREAD DPM PC is a podiatrist in Southfield, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. KISHA MURRAY DREAD DPM PC NPI is 1407988223. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Footcare Of Lincoln Park.

The provider's business location address is:

22250 PROVIDENCE DR
SUITE 302
SOUTHFIELD, MI
ZIP 48075-825
Phone: (248) 557-6500
Fax: (248) 557-2781

The provider's authorized official is Kisha Murray-dread .
The authorized official title is Owner and has the following contact phone number (313) 942-6500.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 11/24/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist5901001881MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15230860001MEDICARE NSCMICHIGAN
2U72887MEDICARE UPINMICHIGAN
30M93330MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
4383484379OTHERMICHIGANTAX ID#
5134123036MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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